National Provider Identifier

Jenna Leigh Heerkens, MSED

Jenna Leigh Heerkens, MSED is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-6590.

NPI 1205190956Fairport, NYSpecialist

Profile Overview

NPI
1205190956
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012

Practice Location

  • 6 N Main St
  • Suite 110
  • Fairport, NY 14450-1524

Phone: (585) 377-6590

Specialties

  • Specialist (174400000X)
Full Record
NPI
1205190956
Entity Type
Individual
Last Name
Heerkens
First Name
Jenna
Middle Name
Leigh
Name Prefix
Mrs.
Credential
MSED
Provider Other Last Name
Empey
Provider Other First Name
Jenna
Provider Other Middle Name
Leigh
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
MSED
Provider Other Last Name Type Code
1
Mailing Street Address
6 N Main St
Mailing Address Line 2
Suite 110
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1524
Mailing Country
US
Mailing Phone
(585) 377-6590
Practice Street Address
6 N Main St
Practice Address Line 2
Suite 110
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1524
Practice Country
US
Practice Phone
(585) 377-6590
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)